Mayo School of Continuous Professional Development

21st Annual Mayo Clinic

Arrhythmias & the HeartA Cardiovascular Update

MARK YOUR CALENDAR!

The Fairmont OrchidBIG ISLAND – HAWAIIJanuary 27-31, 2014

Course Directors:Douglas L. Packer, M.D.Paul A. Friedman, M.D.

Co-Directors:Stephen C. Hammill, M.D. Steve R. Ommen, M.D.

REGISTER ONLINE TODAY!http://www.mayo.edu/cme/cardiovascular-diseases-2014r275

General Information

Course DescriptionArrhythmias & the Heart: A Cardiovascular Update will highlight key topics in cardiology to keep the practitioner current, with an emphasis on cases, updates, and guidelines. The diagnosis, management, and prevention of common rhythm disorders, atrial fibrillation, and ventricular arrhythmias will be reviewed along with challenging aspects of congestive heart failure, coronary artery disease, valvular heart disease, myocardial disease, and congenital heart disease. Special sessions will highlight ECG pearls useful in all aspects of cardiology. There will be an emphasis on patient management, case-based presentations, and panel discussion sessions to provide interaction between the faculty and attendees. Mayo Clinic and guest faculty will share “pearls” to aid in the evaluation and assessment of patients with commonly seen cardiovascular diseases.

Course Learning ObjectivesUpon conclusion of this program, participants should be able to:• Describethecurrentstatusofstrokepreventionoptionsinatrialfibrillation;• Demonstrateappropriateuseofmedicationsandcardiacresynchronization

therapyforheartfailure;•ReviewtheroleofnewtreatmentsforheartfailureincludingLVADsand

transplantation;• Recognizethelatestdiagnosticandmanagementstrategiesforhypertrophic

cardiomyopathy;and,•Describecardiovascularriskfactors,currentguidelines,andnewstrategiesfor

prevention.

AttendanceatthisMayocoursedoesnotindicatenorguaranteecompetenceorproficiency in the performance of any procedures which may be discussed or taught in this course.

Intended AudienceThe symposium is intended for cardiologists, general internists, physician assistants, and cardiovascular nurse practitioners and specialists learning the practice guidelines and management strategies for cardiovascular diseases.

Credit CollegeofMedicine,MayoClinic,isaccreditedbytheAccreditationCouncilforContinuing Medical Education to provide continuing medical education for physicians.

College of Medicine, Mayo Clinic, designates this live activity for a maximum of 23 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Educational GrantsAtthetimeofthisprinting,acompletelistingofcommercialsupporterswasnotavailable.Appropriateacknowledgmentwillbegiventoallsupportersatthetimeof the meeting. Exhibits will be available for viewing at all scheduled breaks.

Date and LocationArrhythmias & the Heart will be held January 27 - 31, 2014. The program will be held at theFairmontOrchid,OneNorthKanikuDrive,TheKohalaCoast,HI96743.

Fairmont Orchid Website: http://www.fairmont.com/orchid-hawaii/

TheFairmontOrchidHawaii,locatedontheKohalaCoastoftheIslandofHawaii,offers a secluded beach, waterfall gardens, and plenty of aloha spirit. Surrounding the hotel are five sacred mountains, the countless blue hues of the Pacific Ocean and some of the world’s best golf courses. Enjoy the sugar-white sandy lagoon and be suretomeetthenativeHawaiianGreenSeaTurtlesthatbaskontheshorelineeveryafternoon. You may also discover island-style fun and culture as you paddle an outrigger canoe, hike through the largest petro glyph field in the Pacific, learn to weave a coconut leaf basket, and more.

TravelHawaii’sBigIslandistheIslandofAdventure.TwiceaslargeasallothermajorHawaiianIslandscombined,theBigIslandofHawaiiistheyoungestoftheislandchainandperhaps,themostdramatic.TheBigIslandofferseverythingyoumightwant from a tropical vacation – dependable sunshine, superb sandy beaches, warm turquoise fish-filled waters, swaying coconut palms, and pristine rain forests. The Hiloregionislushandrainywithcascadingwaterfalls.TheKohalaregion,ontheotherhand,isdryandsunnywithrugged,lava-coveredterrain.Atcertaintimesofthe year, it is not uncommon to see a snow-covered mountain from a lounge chair on asunnybeach.Hawaiiisagreatplacetorelaxandgetawayfromitall.Theopenspaces are soothing as is the natural beauty of its dramatic landscape. For more informationaboutHawaii,visitwww.gohawaii.com.

Travel arrangements for air travel may be made for the following airports:KonaInternationalAirport(KOA)–Distanceapproximately23milesHiloInternationalAirport(ITO)–Distanceapproximately75miles

Duetothelocationandactivitiesarentalcarisrecommended.

Travel arrangements are the sole responsibility of the individual registrant.

Lodging AccommodationsGuest rooms have been reserved for attendees and their guests with special course ratesatTheFairmontOrchidHawaii.Inordertoreceivethespecialrate,reservations must be made before the room block is filled or before the expiration date of December 27, 2013,whichevercomesfirst.Reservationswillbetakenfollowing this date based on space and rate availability.

PleasecalltheFairmontOrchidReservationsDepartmentat1-800-845-9905ortheGlobalReservationsCentreat1-800-441-1414.PleaseidentifyyourselfasaparticipantoftheMayoClinicArrhythmias&theHeartprogramwhenmakingyourreservation. Reservations must be made prior to December 27, 2013 to receive the special rate.

The Fairmont Orchid Hawaii Rates:OneNorthKanikuDrive FairmontRoom: $279TheKohalaCoast,HI96743 PartialOceanRoom: $329Telephone:(808)885-2000Fax:(808)885-1064 OceanViewRoom: $379Email: orchid@fairmont.com Roomratesaboveareforsingleordoubleoccupancy.Eachextrapersonsharingaroomwillbechargedanadditional$75.00pernight.Therewillbenochargeforchildrenuptoandincludingtheageof18yearswhosharewiththeirparents.Maximumoccupancyperroomisthree(3)adultsortwo(2)adultsandtwo(2)children. Guests will be required to guarantee their reservations with a two-night room and tax deposit. Such deposit shall serve to confirm the reservation for the

General Information

date(s)indicated,and,uponcheck-in,shallbeappliedtothefirsttwo(2)nightsofthe reserved stay. Cancellation of individual reservations made up to 14 days prior to arrival will be accepted, and the deposit refunded for those rooms for the full night’s stay. Guests can enjoy complimentary self-parking, internet in guest rooms, lei greeting upon arrival, ocean and cultural activities, in-room safes, coffee, and 24 hour fitness center.

Lodgingarrangementsarethesoleresponsibilityoftheindividualregistrant.MayoSchoolofCPDisnotresponsibleforexpensesincurredbyanindividualwhoisnotconfirmed and for whom space is not available at the meeting. Costs incurred by the registrant such as airline or hotel fees or penalties are the responsibility of the registrant.

ParkingComplimentaryself-parkingisavailable.VerifycurrentvaletparkingrateswithFairmont Orchid.

RegistrationTo register online, visit: http://www.mayo.edu/cme/cardiovascular-diseases-2014r275

Faculty

General Information

Course DirectorsPaul A. Friedman, M.D.Douglas L. Packer, M.D.

Mayo FacultyMichael J. Ackerman, M.D., Ph.D.Samuel J. Asirvatham, M.D.J. Wells Askew, III, M.D.Rajiv Gulati, M.D., Ph.D.Lyle D. Joyce, M.D., Ph.D.Stephen L. Kopecky, M.D.Fred Kusumoto, M.D.Christopher J. McLeod, M.B., Ch.B., Ph.D.Siva K. Mulpuru, M.D.Jae K. Oh, M.D.Sabrina D. Phillips, M.D.Win-Kuang Shen, M.D.Virend Somers, M.D., Ph.D.

Co-DirectorsStephen C. Hammill, M.D.Steve R. Ommen, M.D.

Guest FacultyHugh Calkins, M.D.Professor of MedicineDirectoroftheArrhythmiaServiceandDirector,ClinicalElectrophysiologyLaboratoryJohnsHopkinsMedicalInstitutions

Christopher M. O’Connor, M.D.Professor of MedicineDukeHeartCenterChief,DivisionofCardiologyDukeUniversityMedicalCenter

Faculty DisclosureAsaprovideraccreditedbyACCME,CollegeofMedicine,MayoClinic(MayoSchoolofContinuousProfessionalDevelopment)mustensurebalance,independence, objectivity and scientific rigor in its educational activities. Course director(s),planningcommittee,faculty,andallotherswhoareinapositiontocontrol the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty also will disclose any off-label and/or investigational use of pharmaceuticals orinstrumentsdiscussedintheirpresentation.Disclosureofthisinformationwillbepublished in course materials so those participants in the activity may formulate their own judgments regarding the presentation.

Monday, January 27, 20146:50a.m. RegistrationandContinentalBreakfast

7:10a.m. WelcomeandIntroduction(Pre-Test) Douglas L. Packer, M.D.

Heart FailureModerator: Douglas L. Packer, M.D.

7:30a.m. PracticalManagementofCongestiveHeartFailureinPatientswithSystolicDysfunction

Christopher M. O’Connor, M.D.

7:55a.m. HeartFailurewithNormalSystolicFunction:WhatIsItandHowIsItTreated? Jae K. Oh, M.D.

8:20a.m. KeystoSelectingandManagingPatientsReceivingCRTSystems Samuel J. Asirvatham, M.D.

8:45a.m. RemoteMonitoring:CurrentRoleinTherapyforHeartFailureandReducingHospitalAdmissions

Christopher M. O’Connor, M.D.

9:10a.m. PanelDiscussion Drs. O’Connor, Oh, and Asirvatham

9:30a.m. RefreshmentBreak

10:00a.m. TreatmentOptionsforEndStageHeartFailureWhenMedicationsandCRTareNotHelping:LVADsandTransplantation

Lyle D. Joyce, M.D., Ph.D.

10:25a.m. Sleep,HeartFailure,andVentricularArrhythmias Virend Somers, M.D., Ph.D.

10:50a.m. ManagingAtrialFibrillationinHeartFailure Douglas L. Packer, M.D.

11:10a.m. Case-BasedWorkshop:HeartFailureManagementwithMedicationsandDevices

Moderator: Dr. O’Connor Panelists: Drs. Oh, Asirvatham, Joyce, Somers, and Packer

12:15p.m. Adjourn

Tuesday, January 28, 20146:30a.m. ContinentalBreakfast

Ventricular ArrhythmiasModerator: Paul A. Friedman, M.D.

7:00 a.m. Special Session – Wide Complex Tachycardias Stephen C. Hammill, M.D.

7:30a.m. TheCardiacChannelopathies:WhoNeedsanICD? Michael J. Ackerman, M.D., Ph.D.

7:55a.m. PrimaryPreventionofSuddenCardiacDeathinPatientswithHeartDisease:PatientSelectionandLong-TermOutcomes

Christopher J. McLeod, M.B., Ch.B., Ph.D.

8:20a.m. ArrhythmiasinAthletes:WhenAreSportsNotWorththeRisk? Michael J. Ackerman, M.D., Ph.D.

Program Schedule

Program Schedule

8:45a.m. DeviceandAblationTherapyinPatientswithSustainedVT/VFintheSettingofUnderlyingIschemicDisease

Siva K. Mulpuru, M.D.

9:10a.m. ApproachtoPatientswithIdiopathicVTandARVD Hugh Calkins, M.D.

9:35a.m. RefreshmentBreak

9:55a.m. ICDManagementfortheNon-EPDoc:DealingwithEverythingfromCellPhonestoAirportstoShockstoRateResponse

Paul A. Friedman, M.D.

10:20a.m. DenervationTherapyforVFSyndromes Michael J. Ackerman, M.D., Ph.D.

10:45a.m. IdentifyingandTreatingIdiopathicVTintheNormalHeart Samuel J. Asirvatham, M.D.

11:10a.m. PanelDiscussion Drs. Ackerman, Calkins, Asirvatham, McLeod, and Mulpuru

11:30a.m. CaseBasedWorkshop: VentricularArrhythmias Moderator: Dr. Kusumoto Panelists: Drs. Ackerman, Asirvatham, and Calkins

12:15p.m. Adjourn

Wednesday, January 29, 20146:30a.m. ContinentalBreakfast

Atrial FibrillationModerator: Douglas L. Packer, M.D.

7:00 a.m. Special Session: Learningfromthe12-leadECG Stephen C. Hammill, M.D.

7:30a.m. NewRiskFactorsforAtrialFibrillation:Inflammation,Obesity,andUpstream Therapies

Paul A. Friedman, M.D.

7:55a.m. Sleep,AtrialArrhythmias,andStroke:WhatAretheConnections,andWhatCanWeDo?

Virend Somers M.D., Ph.D.

8:20a.m. AchievingRateControlforAtrialFibrillation:Medicationsvs.AVNodeAblation

Win-Kuang Shen, M.D.

8:45a.m. MaintainingSinusRhythm:FollowingtheAHA/ACC/HRSGuidelinesandPractical Management Pearls

Hugh Calkins, M.D.

9:10a.m. PanelDiscussion Drs. McLeod, Shen, and Calkins

9:30a.m. RefreshmentBreak

10:00a.m. PreventingStrokeinAtrialFibrillation:FromWarfarintoNewDrugs andDevices Paul A. Friedman, M.D.

10:25a.m. CurativeAblationforAtrialFibrillation:WhomtoTreat,Expectations, andPost-AblationManagement Douglas L. Packer, M.D.

10:50a.m. SurgicalTherapiesforAtrialArrhythmias Lyle D. Joyce, M.D., Ph.D.

11:15a.m. PanelDiscussion Drs. Packer, Calkins, and Joyce

11:35a.m. AtrialFibrillation&Flutter–Cases Moderator: Drs. Mulpuru and McLeod Panelists: Drs. Friedman, Joyce, and Packer

12:00p.m. Adjourn

Thursday, January 30, 20146:30a.m. ContinentalBreakfast

Special Patients/Special CareModerator: Win-Kuang Shen, M.D.

7:00a.m. SpecialSession:ECGPearlsforDiagnosingHeartDisease Stephen C. Hammill, M.D.

7:30 a.m. TheHealthyHeartandSVT:AVNodeReentry,WPW,andAtrialTachycardia Siva K. Mulpuru, M.D.

7:55a.m. Drugs,Devices,andAblationintheElderly:HowtoApproachThose 75andUp? Win-Kuang Shen, M.D.

8:20a.m. ChallengesintheYoung:POTS,InappropriateSinusTachycardia,andRecurrentVaso-VagalSyncope

Hugh Calkins, M.D.

8:45a.m. Syncope:CanIDriveorNot Fred Kusomoto, M.D.

9:10a.m. PanelDiscussion Drs. Mulpuru, Calkins, and Kusumoto

9:25a.m. RefreshmentBreak

Coronary and Vascular Management

9:45a.m. RolesofFoods,Lifestyle,andDrugsforLipidManagement Stephen L. Kopecky, M.D.

10:10a.m. SpontaneousCoronaryArteryDissection Rajiv Gulati, M.D., Ph.D.

10:35a.m. StatinIntolerance Stephen L. Kopecky, M.D.

11:00a.m. CarotidArteryDisease:AGuidetoTherapyforCardiologists Rajiv Gulati, M.D., Ph.D.

11:25a.m. NSTEMI-ACS:UpdateonAntithromboticandAntiplateletRecommendations J. Wells Askew, III, M.D.

11:50a.m. Hypertension:DrugstoRenalArteryIntervention Rajiv Gulati, M.D., Ph.D.

Program Schedule

12:15p.m. PanelDiscussion Drs. Kopecky, Gulati, and Askew

12:25p.m. Adjourn

Friday, January 31, 20146:30a.m. ContinentalBreakfast

Myocardial DiseaseModerator: Steve R. Ommen, M.D.

7:00 a.m. Special Session: ECGPearlsforDiagnosingHeartDisease Stephen C. Hammill, M.D.

7:30a.m. HypertrophicCardiomyopathy:ChallengingDecisionMaking Steve R. Ommen, M.D.

7:55a.m. DealingwithPericardialDisease:Dx&Rx Jae K. Oh, M.D.

8:20a.m. RestrictiveCardiomyopathy:Yikes Sabrina D. Phillips, M.D.

8:45a.m. AorticandMitralValveDisease:When&HowtoIntervene–CatheterBasedorOperative

Steve R. Ommen, M.D.

9:10a.m. PanelDiscussion Drs. Oh, Phillips, and Askew

9:45a.m. RefreshmentBreak

10:00 a.m. Photo Contest

10:15a.m. Post-Test

Case-Based Approach to Congenital Heart Disease

10:30 a.m. Cardiac Management of Pregnancy Sabrina D. Phillips, M.D.

11:00a.m. AtrialArrhythmiasinCongenitalHeartDisease Christopher J. McLeod, M.B., Ch.B., Ph.D.

11:25a.m. PanelDiscussion Drs. Phillips and McLeod

12:00p.m ClosingCommentsandAdjourn

Program Schedule

REGISTRATIONRegister online:

http://www.mayo.edu/cme/cardiovascular-diseases-2014R275

Registration Fee:Course Registration (MD, PhD, DO, PharmD) $750.00Course Registration (Fellow, Resident, RN, NP, PA) $600.00

Mayo Clinic Division of Cardiology has implemented an online conference registration system. If this is your first time using the online system, you will need to create a profile and login account.

The system will guide you through the profile and login process. An e-mail address is required upon registration. A letter of confirmation will be forwarded to this address upon receipt of payment and submitted registration. Present this letter of confirmation when checking in at the meeting registration desk.

The registration fee includes tuition, electronic course syllabus, continental breakfasts, and break refreshments. Although it is not Mayo School of Continuous Professional Development (CPD) policy to limit the number of registrants for a course, conference room facilities may necessitate closing of enrollment; therefore, early registration is advised. Enrollment for this program is limited.

For additional information, contact:Cardiovascular Continuing Education200 First Street SW - Gonda 6-472Rochester, MN 55905

Website: www.mayo.edu/cme/cardiovascular-diseases-2014R275E-mail: cvcme@mayo.eduPhone: 507-266-0677 or 800-283-6296

CANCELLATION POLICYIf you cancel your participation in this course, your registration fee, less a $75 administrative fee, will be refunded when written notification is received by Mayo School of CPD before January 13, 2014 (fax#: 507-284-0532). No refunds will be made on or after January 13, 2014. Canceled registrations are non-transferable.

Mayo School of CPD reserves the right to cancel or postpone any course due to unforeseen circumstances. In the unlikely event Mayo School of CPD must cancel or postpone this course, Mayo School of CPD will refund the registration fee, but is not responsible for any related costs, charges, or expenses to participants, including fees assessed by airline/travel/lodging agencies.

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